FORM 1023-EZ for HIGH RISE DAY HABILITATION CENTER

Field Data
EIN 82-3639726
Case Number EO-2018242-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGH RISE DAY HABILITATION CENTER
Organization’s Mailing Address 128 N ROBERTS RD
City CEDAR HILL
State TX
ZIP 75104
Accounting period End 12
Primary contact name JESSICA PENA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERI BARNETT
PRESIDENT/DIRECTOR
1670 POPPIE LN
MIDLOTHIAN TX 75065

Officer/Director/Trustee Two

JESSICA PENA
SECRETARY/DIRECTOR
128 N ROBERTS RD
CEDAR HILL TX 75104

Officer/Director/Trustee Three

JULIANA CANTU
TREASURER/DIRECTOR
1028 WINDING CREEK
CEDAR HILL TX 75104

Organization’s website
Organization’s email HIGHRISEDAYHAB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JESSICA PENA
Signature Title SECRETARY/DIRECTOR
Signature Date 8/28/18

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